This online report form may be used by anyone to report an incident of medical student mistreatment you have experienced or observed. Reports submitted through this form will be reviewed by the UI COM Director of Medical Student Learning Environment (DMSLE)** within 2 business days to determine next steps. As such, you should not use this form to report events presenting an immediate threat to the health or safety of any person, including yourself. If there is an immediate risk to health or safety of any person, please call 911 to connect with medical support or local law enforcement.

If you are unsure whether or not an incident involves sexual misconduct or unlawful discrimination/harassment, please report to both the UI COM and to the appropriate office as described above.

**Though all efforts will be made to respect the privacy of any person making a report, the DMSLE may, in limited circumstances, be required by law or policy to share the report or information from the report with others. There are, however, confidential resources available on campus, including the UIC Counseling Center and the Campus Advocacy Network. If you have any questions about the reporting process or the privacy of the reports, contact the DMSLE, Renee McCarthy at rreifste@uic.edu or (312)413-7937 for more information.